Computed Tomography in Head Injuries by Dr. Wolfgang Lanksch, Professor Dr. Ekkehard Kazner,

By Dr. Wolfgang Lanksch, Professor Dr. Ekkehard Kazner, Professor Dr. Thomas Grumme (auth.)

The advent of computed tomography within the prognosis of pathological intracranial stipulations has had massive importance in circumstances of cranio­ cerebral damage. The decisive diagnostic virtue lies within the risk of demonstrating either gross pathological switch without delay in addition to secondary alterations in common mind buildings. Computed tomography has proved its massive worthy, specifically in assessment of sufferers with craniocerebral damage and its sequelae. The features of CT have been speedy well-known and use of the approach unfold speedily. it truly is most likely that CT may be on hand inside of many years in all hospitals and clinics treating sufferers with craniocerebral damage. We think it acceptable to give a close record on our event with CT in 1800 circumstances of craniocerebral damage handled within the neurosurgical departments in Miinchen-GroBhadern and Berlin-Charlottenburg over a interval of 5 years. either acute posttraumatic issues and past due sequelae are mentioned commonly. plenty of illustrations is supplied with a purpose to facilitate the reader's advent to CT analysis. the nice curiosity in our conjoint learn initially released within the German language, brought about us to translate this publication and to replace the scientific fabric. we want to thank the Stiftung Volkswagenwerk, the Senat of Berlin, the Ludwig-Maximilians-Universitat in Munich and the Freie Universitat of Berlin for the beneficiant monetary help which made this learn possible.

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63). Since studies are made with the patient in a recumbent position, the denser elements of the hematoma collect in the posterior section of the lesion, forming a visible fluid-clot level (Fig. 64). If the patient is shifted to a lateral position during the studies, one can observe redistribution of the denser elements along the inner surface of the hematoma (Huk and Schiefer, 1977). This sedimentation effect is apparently rather characteristic of chronic subdural hematoma. The line separating areas of different density is often quite sharp (Fig.

Acute subdural hematoma above the right convexity and in the interhemispheric fissure. , 80 years old, CT-Nr. B/ 306/78) Fig. 43a and b. Acute subdural hematoma in the left fronto-temporal region with extension onto the tentorium; condition following surgical removal of an acute subdural hematoma on the right 5 years previously. , 43 years old, CT-Nr. B/785/78) Direct Visualization of the Hematoma in the CT-Scan 39 4 1b 42b 43b 40 Head Injuries in the CT Scan Fig. 44. Bilateral acute ubdural hemalOma.

73). Visualization of Hematoma Membranes in the CT Scan 59 7241 72b 73a 73h Fig. 72a and b. Demonstration of the hematoma membrane in chronic subdural hematoma. (a) Above the entire left hemisphere. , 45 years old, CT-Nr. M/1581175); (b) In the left frontal region. , 46 years old, CT-Nr. B/1939/77) Fig. 73a and b. Chronic subdural hematoma on the left, with calcification of the inner layer of the hematoma capsule. , 15 years old, CT-Nr.

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